The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

Avoid the consumption of alcohol.

Report any color changes to urine.

Take additional doses as needed.

Stop medication if a rash develops.

Answer and Explanation

The Correct Answer is C

A. Avoid the consumption of alcohol:
This instruction is appropriate because alcohol can increase the risk of liver damage when taking acetaminophen. Clients should avoid alcohol to prevent potential adverse effects on the liver.

B. Report any color changes to urine:
Acetaminophen can cause changes in urine color, such as darkening, which might indicate liver problems or other issues. Reporting such changes is important for monitoring potential side effects and ensuring timely intervention.

C. Take additional doses as needed:
This statement requires clarification because acetaminophen should be taken according to the prescribed dosage and frequency. Taking additional doses can lead to an overdose and serious liver damage. Clients should follow the recommended dosing guidelines and consult their healthcare provider if additional pain relief is needed.

D. Stop medication if a rash develops:
If a rash develops, it could be a sign of an allergic reaction or other adverse effect. Stopping the medication and seeking medical advice is appropriate to prevent further complications.

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Correct Answer is D

Explanation

A) Avoid prolonged exposure to direct sunlight: While erythromycin can increase sensitivity to sunlight, this is not directly related to the interaction between oral contraceptives and erythromycin. The primary concern with erythromycin and oral contraceptives is their interaction rather than sun exposure.

B) Stop the oral contraceptive immediately: There is no need to stop oral contraceptives when taking erythromycin. However, erythromycin can potentially reduce the effectiveness of oral contraceptives, so additional precautions should be taken rather than discontinuing the contraceptive.

C) Take the medications at least 12 hours apart: Timing of administration is not a primary concern for this interaction. The main issue is the potential reduction in contraceptive efficacy rather than timing the doses of the medications.

D) Use an additional form of contraception: Erythromycin can potentially decrease the effectiveness of oral contraceptives due to its effect on liver enzymes and drug metabolism. It is advisable to use an additional form of contraception to prevent unintended pregnancy while taking erythromycin.

A. Explore what the client means by the drug "is not working." B. Determine if the client is taking the medication before meals. C. Evaluate the client for signs of dyskinesia. D. Ask if the client's morning voids are dark colored.

Correct Answer is A

Explanation

A. Explore what the client means by the drug "is not working":
The first step in addressing the client's concern is to understand their perception of how the medication is performing. This involves exploring their specific symptoms, any changes they've noticed, and their expectations of the medication. This understanding will help guide further assessment and intervention.

B. Determine if the client is taking the medication before meals:
Carbidopa-levodopa is typically recommended to be taken on an empty stomach to optimize absorption. While this is important for effective medication use, addressing the client's perception of the drug's effectiveness takes priority to identify whether there is an issue with their treatment regimen or if other factors are influencing their response.

C. Evaluate the client for signs of dyskinesia:
Dyskinesia, or involuntary movements, can be a side effect of long-term use of carbidopa-levodopa, but evaluating for these signs should follow the initial exploration of the client's concerns. If the client believes the medication is ineffective, it’s crucial first to clarify what symptoms they are experiencing before assessing for specific side effects.

D. Ask if the client's morning voids are dark colored:
Dark-colored urine is not directly related to the effectiveness of carbidopa-levodopa. This assessment is less relevant compared to understanding the client's overall experience with the medication and symptoms. Addressing the client’s concern about the medication’s effectiveness should be the priority.

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The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

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Explanation

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Correct Answer is A

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